Evidence map›Paper›PMID 35982596›Full record

ArticleHealthcare informatics research2022

Quantification of Efflorescences in Pustular Psoriasis Using Deep Learning.

Ludovic Amruthalingam, Oliver Buerzle, Philippe Gottfrois, Alvaro Gonzalez Jimenez, Anastasia Roth, Thomas Koller, Marc Pouly, Alexander A Navarini

Open access · goldAbstract read
In one paragraph

Article in Healthcare informatics research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Ludovic AmruthalingamDepartment of Biomedical Engineering, University of Basel, Basel, Switzerland.
Oliver BuerzleDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Philippe GottfroisDepartment of Biomedical Engineering, University of Basel, Basel, Switzerland.
Alvaro Gonzalez JimenezDepartment of Biomedical Engineering, University of Basel, Basel, Switzerland.
Anastasia RothDepartment of Health Sciences and Technology, Swiss Federal Institute of Technology, Zurich, Switzerland.
Thomas KollerLucerne School of Computer Science and Information Technology, Lucerne University of Applied Sciences and Arts, Lucerne, Switzerland.
Marc PoulyLucerne School of Computer Science and Information Technology, Lucerne University of Applied Sciences and Arts, Lucerne, Switzerland.
Alexander A NavariniDepartment of Biomedical Engineering, University of Basel, Basel, Switzerland.
University of Basel · CHLucerne University of Applied Sciences and Arts · CHÉcole Polytechnique Fédérale de Lausanne · CHUniversity Hospital of Zurich · CH

Funding

Botnar FoundationHelmut-Fischer FoundationUniversity of Basel
6 · The paper itself

Abstract

objectivesPustular psoriasis (PP) is one of the most severe and chronic skin conditions. Its treatment is difficult, and measurements of its severity are highly dependent on clinicians' experience. Pustules and brown spots are the main efflorescences of the disease and directly correlate with its activity. We propose an automated deep learning model (DLM) to quantify lesions in terms of count and surface percentage from patient photographs.

methodsIn this retrospective study, two dermatologists and a student labeled 151 photographs of PP patients for pustules and brown spots. The DLM was trained and validated with 121 photographs, keeping 30 photographs as a test set to assess the DLM performance on unseen data. We also evaluated our DLM on 213 unstandardized, out-of-distribution photographs of various pustular disorders (referred to as the pustular set), which were ranked from 0 (no disease) to 4 (very severe) by one dermatologist for disease severity. The agreement between the DLM predictions and experts' labels was evaluated with the intraclass correlation coefficient (ICC) for the test set and Spearman correlation (SC) coefficient for the pustular set.

resultsOn the test set, the DLM achieved an ICC of 0.97 (95% confidence interval [CI], 0.97-0.98) for count and 0.93 (95% CI, 0.92-0.94) for surface percentage. On the pustular set, the DLM reached a SC coefficient of 0.66 (95% CI, 0.60-0.74) for count and 0.80 (95% CI, 0.75-0.83) for surface percentage.

conclusionsThe proposed method quantifies efflorescences from PP photographs reliably and automatically, enabling a precise and objective evaluation of disease activity.

Indexed as

Computer-Assisted DiagnosisDeep LearningDermatologyMachine LearningPsoriasis

Identifiers

PMID35982596
PMCPMC9388917
OpenAlexW4290565218

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.